Individual
DR. MARTA ANISIA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7765 S COUNTY ROAD 231, LAKE BUTLER, FL 32054
(386) 496-6121
(386) 496-6083
Mailing address
5403 NW 20TH CT APT C, GAINESVILLE, FL 32653-2179
(786) 282-0147
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN219
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16,111
P.RICO LICENSE
FL
01
—
ACN 219
AREACRITICAL NEED LICENSE
FL
Enumeration date
06/27/2007
Last updated
03/07/2023
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